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Methicillin-Resistant Staphylococcus aureus Bloodstream Infection Surveillance: National Healthcare Safety Network’s Laboratory-Identified Event Reporting versus Traditional Laboratory-Confirmed Bloodstream Infection Surveillance

  • Arthur W. Baker (a1), Michael J. Durkin (a1), Kristen V. Dicks (a1), Sarah S. Lewis (a1), Rebekah W. Moehring (a1) (a2), Luke F. Chen (a1), Daniel J. Sexton (a1) and Deverick J. Anderson (a1)...


Hospitals must report cases of methicillin-resistant Staphylococcus aureus bloodstream infection (BSI) using a new laboratory-identified (LabID) event reporting module. BSI rates obtained using LabID differ from rates of BSI obtained from traditional surveillance (concordance of healthcare facility–onset cases, 61%–76%) because definitions used to report LabID events are inconsistent with traditional BSI definitions

Infect Control Hosp Epidemiol 2014;35(10):1286–1289


Corresponding author

Duke University Medical Center, Box 102359, Room 181, Hanes House, Durham, NC 27710 (


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1. Centers for Disease Control and Prevention (CDC). Operational Guidance for Acute Care Hospitals to Report Facility-Wide Inpatient (FacWideIN) Methicillin-Resistant Staphylococcus aureus (MRSA) Blood Specimen (Bacteremia) Laboratory-Identified (LabID) Event Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Requirements. Atlanta: CDC, 2012. Accessed January 13, 2014.
2. Centers for Disease Control and Prevention (CDC). Multidrug-Resistant Organism and Clostridium difficile Infection (MDRO/CDI) Module. Atlanta: CDC, 2014. Accessed January 13, 2014.
3. Centers for Disease Control and Prevention (CDC). LabID Event FAQs. Atlanta: CDC, 2013.–7.pdf. Accessed December 28, 2013.
4. Centers for Disease Control and Prevention (CDC). CDC/NHSN Surveillance Definitions for Specific Types of Infections. Atlanta: CDC, 2014. Accessed January 13, 2014.
5. Anderson, DJ, Miller, BA, Chen, LF, et al. The network approach for prevention of healthcare-associated infections: long-term effect of participation in the Duke Infection Control Outreach Network. Infect Control Hosp Epidemiol 2011;32(4):315322.
6. Chihara, S, Popovich, KJ, Weinstein, RA, Hota, B. Staphylococcus aureus bacteriuria as a prognosticator for outcome of Staphylococcus aureus bacteremia: a case-control study. BMC Infect Dis 2010;10:225.


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